| NPI | 1710173786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22351) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2021-09-30 |